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Dermatopathologic manifestations of intravenous drug use
Author(s) -
Tse Julie Y.,
Adisa Morayo,
Goldberg Lynne J.,
Nazarian Rosalynn M.
Publication year - 2015
Publication title -
journal of cutaneous pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 75
eISSN - 1600-0560
pISSN - 0303-6987
DOI - 10.1111/cup.12622
Subject(s) - medicine , drug , pathology , intravenous drug , dermatology , pharmacology , immunology , virus , viral disease
Background The rate of intravenous drug use ( IVDU ) has been increasing nationally; however, cutaneous manifestations of IVDU have infrequently been investigated. We report a series of the clinicopathological correlation of IVDU in the skin. Methods A search of surgical pathology files between the years 2000 and 2014 was performed for cutaneous specimens from patients with a reported history of IVDU for which the histopathological findings could not be attributed to another etiology. Ten cases for which slides were available were included in the study. Results Patients had an average age of 39.7 years and had active or recent history of IVDU . Clinical impressions included ulcer, granulomatous dermatitis, vasculitis, pyoderma gangrenosum and hyperpigmentation at injection sites. Histopathology revealed leukocytoclastic vasculitis (n = 2), dermal pigment deposition (n = 3), non‐specific ulceration/scarring (n = 4) and necrobiosis lipoidica‐like dermatitis (n = 1). No infectious etiology or polarizable foreign material was identified in any case. Conclusions Cutaneous manifestations of IVDU should be considered in the differential as an etiology for dermatopathologic findings in high‐risk patients. We report histopathological findings beyond the scope of those most commonly associated with IVDU . We aim to raise awareness of the cutaneous manifestations of IVDU to improve clinicopathological correlation and patient management in light of the ongoing epidemic.